| NPI | 1265038558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10023463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 246243) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2026-01-14 |